1197例老年修复病例的临床分析  

Analyze 1197 prosthetic cases in the elderly

作　　者：王燕一[1] 刘洪臣[1] 郭贵华[1] 师占平[1] 张晔缨[1] 曹均凯[1] 

机构地区：[1]解放军总医院口腔科,北京100853

出　　处：《口腔颌面修复学杂志》2000年第1期43-45,共3页Chinese Journal of Prosthodontics

摘　　要：目的:了解老年修复患者口腔情况和修复状况。材料和方法:调查1197例老年修复治疗的病例,将每一病例的缺牙和修复情况输入计算机,统计分析。结果:本组老年人平均缺失牙齿9.10颗,缺失最多的前3位牙齿足正颌第—磨牙、上颌第二磨牙和下颌第一磨牙;余留最多的前3位牙齿足下颌尖牙、下颌第一双尖牙和上颌尖牙。19.51％的病例颌骨间无咬合接触关系,19.51％的病例修复时需咬合重建或咬合抬高;21.84％的病例修复前存在食物嵌塞。结论:活动义齿是目前老年修复治疗的主要方法。咬合重建以及防治食物嵌塞、颞下颌关节病是老年修复的特点。结果提示:应重视老年修复中牙体、牙周与颞下颌关节、咀嚼肌的保健与修复治疗间的相互联系与相互作用。To acquire teeth and prosthetic conditions of the elderly. Methods: To imput the data of each prosthetic case into computer and make statistical analysis. Results: The average numbers of missing teeth is 9.10. The first three largest number of missing teeth is as follows: maxillary first molar, maxillary second molar and mandibular first molar. The first three largest number of resident teeth is as follows: mandibular cuspid, mandibular bicuspid and maxillary cuspid. The cases without occusal relationship account for 19.51%; and the cases which need occlusal reconstruction or occlusal elevation account for 19.51% of all the cases, while food impaction exists in 21.84% cases. Conclusion: Removable denture is the main method of present elderly prosthetic therapy. The characteristic of prosthesis of the elderly is occlusal reconstruction, prevention and treatment of food impaction and temporomandibular disorders. The results highlights the interconnect of prevention and prosthesis between the body and periodontal of the teeth, temporomandibular joint and masticatory muscles in the elderly.

关 键 词：老年 牙列缺损 修复治疗 活动义齿 咬合重建 食物嵌塞 颞下颌关节病 

分 类 号：R783[医药卫生—口腔医学]